Mohammed A., 16

Mohammed Ali is a 16-year-old secondary school student who dreams of becoming a doctor. He has been hospitalized several times over the past 18 months with severe pain, fever, and urinary complications. His condition has continued to worsen, affecting both his health and his education, and he now requires further investigations and treatment. Mohammed is the third of five children. His father is a daily labourer and his mother is a petty trader. After spending all their savings on previous hospitalizations and medications, the family can no longer afford the cost of his medical care and urgently needs support. Adamu Kabiru, a 16-year-old male, presented with a 3-week history of recurrent severe right loin-to-groin pain, dysuria, high-grade fever, and intermittent hematuria. He also reports nausea and vomiting during episodes. This is his 4th hospital admission in the last 18 months for similar complaints. Symptoms are worsening and affecting his schooling. After in-depth history taking, and clinical assessment, Mohammed is diagnosed UTI (? Bilateral Pyelonephritis) r/o Recurrent Renal Calculi.

Mohammed Ali has recurrent bilateral renal calculi with associated Bilateral Pyelonephritis, following a previous surgery 6 years ago. If treated surgically (Nephrolithotomy), the prognosis is excellent with restoration of kidney function, relief of pain, and ability to resume normal schooling. If left untreated, he risks recurrent severe infections, progressive kidney damage, and possible kidney failure and eventually death.